Purpose The quality of life in stroke patients is vital for survival. Nowadays, studies that show a decrease in quality of life in post-stroke patients are increasing. Various non-pharmacological modalities were explored in the past to improve rehabilitation. However, the study about the effects of religious mantra and its combination with the modern technique was lacking. Therefore, this study aimed to analyse the effects of Gayatri Mantra and Emotional Freedom Technique (EFT) on quality of life (QOL) of post-stroke patients. Methods A quasi-experimental with pretest and posttest with the control group design was conducted. Forty-six post-stroke subjects with reduced quality of life based on Stroke Specific Quality of Life were consecutively recruited and divided into controls and intervention groups. The intervention group received additional treatment with Gayatri Mantra and EFT. In contrast, the control group attends and adheres only to the standard hospital rehabilitation program. Results All indicators and the overall score of QOL in the intervention group showed significant improvement after treatment ( p <0.05) compared with no improvement in the control group. Overall, a higher QOL score was observed in the intervention group at the end of the study. Mann–Whitney test shows significant differences between the final QOL score in intervention and control groups ( p <0.001). Conclusion Gayatri Mantra and EFT are significantly increasing the quality of life of post-stroke patients.

Keluarga sebagai sistem pendukung utama sering mengalami beban yang tidak ringan dalam memberikan perawatan selama pasien di rumah, jika keluarga terbebani kemungkinan keluarga tidak mampu merawat pasien dengan baik sehingga keluarga mengambil keputusan untuk melakukan pemasungan. Pemasungan merupakan pelanggaran hak asasi manusia berat, karena dilakukan pada orang dengan disabilitas yang mengakibatkan tidak mampu mengakses layanan yang dapat mengurangi tingkat disabilitasnya. Tujuan dari penelitian ini adalah untuk menganalisis hubungan beban keluarga dengan pemasungan pada pasien skizofrenia di Wilayah Kerja UPTD Puskesmas II Denpasar Timur. Penelitian ini menggunakan desain deskriptif korelasional dengan pendekatan cross sectional, dengan teknik sampling purposive sampling. Sampel penelitian ini adalah 95 keluarga pasien dengan skizofrenia. Pengumpulan data menggunakan kuesioner beban keluarga dan KKPD. Hasil penelitian menunjukkan beban keluarga merawat pasien skizofrenia sebagian besar dalam kategori tinggi yaitu sebanyak 46 orang (48,4%). Keinginan keluarga untuk melakukan pemasungan pada pasien skizofrenia sebagian besar dalam kategori tinggi yaitu sebanyak 42 orang (44,2%). Hasil uji Rank Spearman didapatkan p-value=0,000 <0,05 hasil ini menunjukkan ada hubungan bermakna beban keluarga dengan pemasungan pada pasien skizofrenia di Wilayah Kerja UPTD Puskesmas II Denpasar Timur. Di sarankan kepada Puskesmas II Denpasar Timur untuk meningkatkan frekuensi kegiatan penyuluhan untuk keluarga pasien yang memiliki keinginan tinggi untuk melakukan pemasungan guna mencegah tindakan pemasungan benar-benar dilakukan.

Introduction: Fatigue is one of the most common symptoms felt by patients who experience Chronic Kidney Disease, the level of fatigue experienced from low to severe. Some management to deal with fatigue has been done a lot, but the results have not been maximized. Emotional Freedom Technique (EFT) is a psychological therapy that can treat many diseases, both physical illness and psychological illness. Aims: This study aims to determine the effect of EFT therapy on fatigue in CKD patients.Methods: This type of research is a quasi-experimental design with a control group pre-post-test Sample divided into 2 groups, consisted of 19 people, selected through purposive sampling.Results: The results showed that the p-value in the treatment group = 0,000 means that there is an effect of therapy EFT on health in CKD patients, whereas, in the control group, there is no difference with the p-value = 1,000. Discussion: The change in CKD patients' fatigue level after EFT therapy is due to a combination of techniques that support the effectiveness of EFT therapy.Conclusion: With this study, it is expected that hospitals can carry out EFT therapy to reduce fatigue in CKD patients to help cure patients.

Surgery often causes anxiety in patients. Preoperative anxiety may cause delays of surgery due to physiological and psychological changes experienced by the patient. Preoperative anxiety is influenced by age, gender, education level, physical condition, and experience. The research objective was to analyze the influence of factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic. This research applied cross sectional design with 98 respondents who were selected by consecutive sampling method. Data were collected using the APAIS. Bivariate data analysis was performed using non-parametric Pearson’s chi-squared test and multivariate analysis with logistic regression. All patients experienced preoperative anxiety, most of which were in the moderate category (41.8%). Factors responsible for preoperative anxiety in patients at the Surgical Polyclinic of Sanglah General Hospital, Denpasar, during the COVID-19 pandemic were gender (p = 0.043, α = 0.05), education (p = 0.000, α = 0.05), and experience (p = 0.006, α = 0.05). The most dominant factor was experience with an odds ratio of 4.806. The influence of the three factors was 75.4% and the remaining 24.6% was influenced by other factors. Most respondents expressed their anxiety with fear and curiosity about surgical procedure so it is important for nurses to provide education about the surgery in order to reduce the level of preoperative anxiety in patients, especially female patients with lower levels of educational attainment who have never undergone surgery.

Background: The prognosis of stroke after an attack is very diverse. Some can recover, as usual, and some live with residual symptoms such as mild to severe disability. However, a stroke for the first time has a significant risk of a repeat attack. So it is necessary to make lifestyle modifications to the risk factors they have, one of which is through the community movement (GERMAS) in the form of education about the CERDIK and PATUH Healthy Lifestyle, which synergizes with this PKM, which is to increase the understanding of families and post-stroke sufferers so that they behave to improve their lifestyle so that it can prevent recurrent strokes. Methods: This community service is carried out to anticipate recurrent stroke events, which involves the community service team from Stikes Wika and people with stroke who still need to understand managing risk factors for recurrent attacks. Community service is conducted offline through counseling with activity partners under the auspices of the Amaranne Foundation. (Tapasya Stroke Center) Tabanan Bali. Results: Of community service activities, people with stroke can change their behavior for the better after knowing how to prevent repeated attacks, with a post-test score of 72% on good points. Conclusion:  This illustrates that understanding stroke survivors and their families will stimulate a healthy lifestyle without repeated attacks.